MANOJ JAIN MD
NPI 1285620369
Radiology - Radiation Oncology in Berlin, MD

NPI Status: Active since September 23, 2005

Contact Information

314 FRANKLIN AVE
BERLIN, MD
ZIP 21811
Phone: (410) 641-0277
Fax: (410) 641-9581

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  • Individual
  • Male
  • Years of Experience 28
  • Radiology
  • Radiation Oncology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MANOJ JAIN

This page provides the complete NPI Profile along with additional information for Manoj Jain, a provider established in Berlin, Maryland with a medical specialization in Radiology, focusing in radiation oncology and more than 28 years of experience. He graduated from New York Medical College in 1998. The healthcare provider is registered in the NPI registry with number 1285620369 assigned on September 2005. The practitioner's primary taxonomy code is 2085R0001X with license number D60818 (MD). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1285620369
Provider Name
MANOJ JAIN MD
Gender
Male
Entity Type
Individual
Location Address
314 FRANKLIN AVE BERLIN, MD 21811
Location Phone
(410) 641-0277
Location Fax
(410) 641-9581
Mailing Address
2234 COLONIAL BLVD FORT MYERS, FL 33907
Mailing Phone
(239) 931-7342
Mailing Fax
(410) 641-9581
Medical School Name
NEW YORK MEDICAL COLLEGE
Graduation Year
1998
Is Sole Proprietor?
No
Enumeration Date
09-23-2005
Last Update Date
03-27-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
License No.
D60818
License State
MD
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • my Blue Access Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
  • my Blue Access PPO Bronze 3800 - PPO
  • my Blue Access PPO Bronze 3800 + Adult Dental and Vision - PPO
  • my Blue Access PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
  • my Blue Access PPO Bronze 8900 - PPO
  • my Blue Access PPO Gold 0 - PPO
  • my Blue Access PPO Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access PPO Gold 1700 HSA - PPO
  • my Blue Access PPO Premier Gold 0 - PPO
  • my Blue Access PPO Premier Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access PPO Premier Platinum 0 - PPO
  • my Blue Access PPO Premier Platinum 0 + Adult Dental and Vision - PPO
  • my Blue Access PPO Silver 7000 - PPO
  • my Blue Access PPO Standard Bronze 7500 - PPO
  • my Blue Access PPO Standard Gold 1500 - PPO
  • my Blue Access PPO Standard Platinum 0 - PPO
  • my Blue Access PPO Standard Silver 5000 - PPO
  • my Blue Access PPO Standard Silver 5000 + Adult Dental and Vision - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
403688300MEDICAID (05)MD 
013127K52MEDICARE PIN (08)DE 
10236764OTHER (01)MDAMERIGROUP PROV. # (BERLIN)
010040825MEDICAID (05)VI 
010040523MEDICAID (05)VI 
010040493MEDICAID (05)VI 
1000024706MEDICAID (05)DE 
649LH342MEDICARE PIN (08)MD 
01219116OTHER (01)DEAMERIGROUP PROV. # (KATIN)
H97390MEDICARE UPIN (02)MD 
403688301MEDICAID (05)MD 

Medicare Participation & PECOS Enrollment Status

Manoj Jain is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Manoj Jain is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1456252378

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040216001280

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Calculation of radiation therapy dose

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

This service was performed 120 times for 53 patients

Continuing radiation therapy consultation per week

Continuing radiation therapy consultation per week involves regular meetings with your healthcare team. These sessions help monitor your progress, manage side effects, and adjust your treatment plan if necessary. It's a key part of ensuring the effectiveness of your radiation therapy.

This service was performed 233 times for 45 patients

Ct guidance for insertion of radiation therapy fields

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

This service was performed 1,369 times for 61 patients

Design and construction of complex radiation treatment device

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

This service was performed 57 times for 51 patients

Design and construction of radiation treatment device for high precision radiation therapy

A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.

This service was performed 40 times for 40 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 94 times for 90 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 95 times for 86 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 35 times for 30 patients

High precision radiation therapy planning

High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.

This service was performed 40 times for 40 patients

Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session

Intensity-modulated radiation therapy (IMRT) is a type of cancer treatment. It uses advanced technology to manipulate photon beams of radiation to conform to the shape of a tumor. IMRT allows for the radiation dose to conform more precisely to the three-dimensional shape of the tumor by modulating—or controlling—the intensity of the radiation beam. This can result in better tumor control and less harm to healthy tissue.

This service was performed 1,237 times for 47 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 51 times for 51 patients

Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved

This procedure involves collecting necessary data to plan the best radiation treatment. It may cover 3 or more areas or any area requiring special attention. Data collection includes imaging scans and tests to understand the disease's extent and to tailor a precise, effective treatment plan.

This service was performed 60 times for 53 patients

Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev

Radiation therapy involves directing high-energy particles to destroy cancer cells. The technique targets 3 or more areas, using custom blocks for precise focus. Tangential ports, wedges, and rotational beams adjust the radiation's path, while compensators balance radiation dose. Electron beam therapy with 6-10 mev energy is used for deep-seated tumors.

This service was performed 90 times for 12 patients

Radiation treatment management, 5 treatment sessions

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

This service was performed 304 times for 58 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $43.89 for a new patient copayment and $18.05 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 21811 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $175.57
  • Minimum New Patient Price $57.99
  • Maximum New Patient Price $175.57
  • Average New Patient Copayment $43.89
  • Minimum New Patient Copayment $14.49
  • Maximum New Patient Copayment $43.89

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $72.23
  • Minimum Established Patient Price $18.66
  • Maximum Established Patient Price $143.02
  • Average Established Patient Copayment $18.05
  • Minimum Established Patient Copayment $4.66
  • Maximum Established Patient Copayment $35.75

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Manoj Jain is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ATLANTIC GENERAL HOSPITAL9733 HEALTHWAY DRIVE
BERLIN, MD 21811
(410) 641-1100Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285620369
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651220312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 2 + 0 + 3 + 1 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1285620369 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437147873 JONATHAN D BELL MD
Individual
Internal Medicine (Gastroenterology)314 FRANKLIN AVE SUITE 304
BERLIN, MD 21811
(410) 629-1450
1649268004 LEE WARREN KLEPPER MD
Individual
Internal Medicine (Gastroenterology)314 FRANKLIN AVE SUITE 304
BERLIN, MD 21811
(410) 629-1450
1558341974BERLIN RADIATION THREAPY TREATMENT CENTER, LLC
Organization
Radiology (Radiation Oncology)314 FRANKLIN AVE
BERLIN, MD 21811
(410) 641-0277
1760410989 KATHRYN BRADSHAW CRNP
Individual
Nurse Practitioner314 FRANKLIN AVE
BERLIN, MD 21811
(410) 629-1995
1982617544DR. LILAH C GONZALEZ M.D.
Individual
Internal Medicine314 FRANKLIN AVE SUITE 104
BERLIN, MD 21811
(410) 641-2696
1992801807 ALICE B RAKOWSKI PT
Individual
Physical Therapist314 FRANKLIN AVE SUITE 501
BERLIN, MD 21811
(410) 641-0999
1265538193 SUSANNE A HOSHINO PT
Individual
Physical Therapist314 FRANKLIN AVE SUITE 501
BERLIN, MD 21811
(410) 641-0999
1780780544 DAVID VISCOMI PTA
Individual
Physical Therapy Assistant314 FRANKLIN AVE SUITE 501
BERLIN, MD 21811
(410) 641-0999
1609972454OCEAN PHYSICAL THERAPY & SPORTS MEDICINE, INC
Organization
Physical Therapist314 FRANKLIN AVE SUITE 501
BERLIN, MD 21811
(410) 641-0999
1710087291 RALPH SHERWOOD PT
Individual
Physical Therapist314 FRANKLIN AVE SUITE 501
BERLIN, MD 21811
(410) 641-0999
1922168947LITTLE DOC RIDER PC
Organization
Family Medicine314 FRANKLIN AVE SUITE 403
BERLIN, MD 21811
(410) 629-1995
1467512467ATLANTIC GASTROENTEROLOGY PA
Organization
Internal Medicine (Gastroenterology)314 FRANKLIN AVE SUITE 304
BERLIN, MD 21811
(410) 629-1450
1386778041MED TEL INTERNATIONAL CORPORATION
Organization
Clinic/Center (Magnetic Resonance Imaging (MRI))314 FRANKLIN AVE SUITE 406
BERLIN, MD 21811
(410) 641-9560
1992995179LILAH C GONZALEZ MD PA
Organization
Legal Medicine314 FRANKLIN AVE SUITE 104
BERLIN, MD 21811
(410) 641-2696
1881847515 SARAH H OLEKSAK PT
Individual
Physical Therapist314 FRANKLIN AVE SUITE 501
BERLIN, MD 21811
(410) 641-0999
1598093833DR. DANIEL R PASCUCCI D.O.
Individual
Family Medicine (Sports Medicine)314 FRANKLIN AVE SUITE 105-B
BERLIN, MD 21811
(410) 641-1900
1043522022OCEAN ORTHOPEDICS PC
Organization
Orthopaedic Surgery314 FRANKLIN AVE SUITE 105B
BERLIN, MD 21811
(410) 641-1900
1700198207MR. EDWARD KENLY STARTT PT
Individual
Physical Therapist314 FRANKLIN AVE SUITE 501
BERLIN, MD 21811
(410) 641-0999
1275527681MRS. JULIE SEIF SEXTON MS, CRNP
Individual
Nurse Practitioner (Family)314 FRANKLIN AVE SUITE 301
BERLIN, MD 21811
(410) 629-0888
1194061739MRS. MONICA ANN EDELMANN
Individual
Physical Therapist314 FRANKLIN AVE SUITE 405
BERLIN, MD 21811
(410) 641-2900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285620369, enumerated in the NPI registry as an "individual" on September 23, 2005

The provider is located at 314 Franklin Ave Berlin, Md 21811 and the phone number is (410) 641-0277

The provider's speciality is Radiology with taxonomy code 2085R0001X with a focus in Radiation Oncology

The provider has more than 28 years of experience. He graduated from New York Medical College in 1998.

The provider might be accepting Accepts: Highmark Blue Cross Blue Shield Delaware,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $175.57 with an average copayment of $43.89 for new patient appointments. Established patients should expect a typical charge of $72.23 and an average copayment of 18.05. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Calculation of radiation therapy dose, Continuing radiation therapy consultation per week, Ct guidance for insertion of radiation therapy fields, Design and construction of complex radiation treatment device, Design and construction of radiation treatment device for high precision radiation therapy, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, High precision radiation therapy planning, Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session, New patient office or other outpatient visit, 45-59 minutes, Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved, Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev and Radiation treatment management, 5 treatment sessions.

The practitioner is affiliated to the following hospital(s): ATLANTIC GENERAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on September 23, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.